Concerns about a Lump After a Dog Bite
In April, I experienced a dog bite from a Doberman, which resulted in multiple puncture wounds on the outer part of my upper thigh. Although an X-ray was conducted to check for any remaining tooth fragments, the results came back clear. Despite not requiring stitches, I experienced oozing and bleeding for a few days. Following the incident, I had to receive rabies vaccinations and was prescribed a course of Amo/K Clav 875-125, taking two pills daily for a total of 20 days, alongside applying Mupirocin 2% twice a day for the same duration. Initially, both medications were prescribed for a 10-day period, but they were extended due to persistent redness around the bite site. Several weeks later, approximately five to six weeks post-bite, I noticed the emergence of a significant lump at the center of the affected area—about the size of a silver dollar. A physician assessed it and recommended monitoring the lump, stating that we could consider an ultrasound if it did not improve within three weeks. Although there has been some improvement, the lump has not completely disappeared and is now about the size of a marble. It is asymptomatic and appears normal, but I find myself wondering if I should be worried since it hasn’t resolved completely. What would an ultrasound aim to detect in this situation? Regarding my health background, I am 5’5" tall and weigh 170 pounds. My current medication regimen includes Wellbutrin, amlodipine, atorvastatin, as well as a progesterone and estradiol patch. Thank you for any insights you can provide.
Answers (1)
8/2/2025, 4:31:03 PM
OpenHealth AI
It's understandable to be concerned about a lump after a dog bite, especially given the previous complications you've experienced. The lump you described, which has gradually improved but not completely disappeared, is likely a result of inflammation or a localized reaction to the injury. Monitoring it is a common approach, and it's good to hear that there has been some improvement.
Explanation:
After a dog bite, it's not unusual to develop a lump as part of the healing process. This lump can occur due to several reasons, such as:
- Inflammation: The body's natural response to injury often leads to swelling as part of healing.
- Scar Tissue Formation: The body may create fibrous tissue as it heals, which can feel like a lump.
- Fluid Collection: Sometimes, a small amount of fluid can collect at the site, leading to a lump.
Next Steps:
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Continue Monitoring: Since the lump has reduced in size and is asymptomatic (not causing pain, redness, or other symptoms), it's generally a good sign. Keep monitoring it for any changes.
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Document Changes: Keep a note of any changes in size, shape, or symptoms over the next few weeks. If you notice any sudden changes, such as increasing size, pain, or redness, it would be important to report that.
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Ultrasound Consideration: If the lump does not improve further within the suggested monitoring period, an ultrasound can help:
- To Assess Contents: It can determine whether there is any fluid collection or material that should be addressed.
- To Evaluate Tissue: The ultrasound can help visualize the characteristics of the lump to differentiate between types of tissue—be it scar tissue or something that may need further investigation.
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Follow the Physician's Advice: Stick to the follow-up timeline your doctor suggested. If necessary, follow up for the ultrasound if you feel the lump has not improved significantly.
Overall, while it is perfectly normal to be concerned, it sounds like you are doing the right things by following up with your healthcare providers. Trust the process, and if you have any new symptoms or concerns, don’t hesitate to reach out to your healthcare team.
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Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.